Getting a handle on your practice’s big data needs for patient care, performance, and quality reporting at the local and national levels will likely determine your continued success, and possibly existence, in the coming years. We are currently inundated with requests to provide measures demonstrating how well we take care of our patients and how efficient our practices are.1-3 

While the Joint Commission has long required reports on measures such as timely antibiotic administration, health care reform is moving this reporting away from the previous fee-for-service model to pay-for-performance. Most practices and eligible physicians are required to submit Physician Quality Reporting System (PQRS) measures to the Centers for Medicare & Medicaid Services (CMS) to avoid Medicare reimbursement adjustments. Indicator categories include business (cases done), process (on time starts), clinical outcomes (critical events; myocardial infarction, etc.),...

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